Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan Denzil Breitweiser

Individual provider Counselor · NPI 1174245872

Logan Denzil Breitweiser is a Counselor in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

123 NW 36th St Ste 210
Seattle, WA 98107-4959
Phone: (206) 402-5767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MC61463215 (WA)
Counselor Taxonomy 101Y00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174245872
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 19, 2022
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023
Mailing address2801 E Yesler Way Apt 31, Seattle, WA 98122-6576

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